Nian Yu, Hu Feng-Ying, Wang Yan-Mei, Yue Wen-Jing, Xie Yun, Li Bo, Zhou Li-Heng
Department of Neurology, Taihe County People's Hospital Fuyang 236600, Anhui, China.
Department of Nursing, Taihe County People's Hospital Fuyang 236600, Anhui, China.
Am J Transl Res. 2025 Mar 15;17(3):1694-1706. doi: 10.62347/UBVA3419. eCollection 2025.
To evaluate the effect of continuous nursing combined with comprehensive 5E rehabilitation-based nursing intervention on neurological function, quality of life, and prognosis in patients with acute ischemic stroke (AIS).
This retrospective study included 117 AIS patients admitted to TaiHe County People's Hospital between January 2022 and March 2024. Patients receiving routine nursing care from January 2022 to March 2023 were assigned to the conventional care group (56 cases), while those receiving continuous nursing combined with comprehensive 5E rehabilitation-based nursing intervention from March 2023 to March 2024 were assigned to the integrated care group (61 cases). Pre- and post-intervention comparisons were made between the groups regarding neurological function, cognitive ability, physical capability, coagulation status, activities of daily living, quality of life, nursing satisfaction, and prognosis. Additionally, risk factors for poor prognosis in AIS patients were analyzed based on their outcomes.
Prior to intervention, there were no significant differences in neurological function, cognitive function, physical function, coagulation status, daily living ability, or quality of life scores between the two groups (all P>0.05). After intervention, the integrated care group showed significantly better outcomes in neurological function, cognitive function, physical function, coagulation status, daily living ability, quality of life, nursing satisfaction, and prognosis compared to the conventional care group (all P<0.05). Multivariate logistic regression analysis identified older age, high National Institutes of Health Stroke Scale score, elevated serum C-reactive protein and homocysteine levels, and reduced vascular endothelial growth factor levels as risk factors for poor prognosis in AIS patients (all P<0.05).
The integration of continuity of care with comprehensive nursing intervention based on the 5E rehabilitation framework effectively addresses the rehabilitation needs of AIS patients, significantly improving neurological function, quality of life, and prognosis.
评估延续性护理联合基于5E康复模式的综合护理干预对急性缺血性脑卒中（AIS）患者神经功能、生活质量及预后的影响。
本回顾性研究纳入了2022年1月至2024年3月期间在太和县人民医院住院的117例AIS患者。将2022年1月至2023年3月期间接受常规护理的患者分配至传统护理组（56例），将2023年3月至2024年3月期间接受延续性护理联合基于5E康复模式的综合护理干预的患者分配至综合护理组（61例）。比较两组患者干预前后的神经功能、认知能力、身体功能、凝血状态、日常生活活动能力、生活质量、护理满意度及预后情况。此外，根据AIS患者的预后情况分析其预后不良的危险因素。
干预前，两组患者的神经功能、认知功能、身体功能、凝血状态、日常生活能力及生活质量评分比较，差异均无统计学意义（均P>0.05）。干预后，综合护理组在神经功能、认知功能、身体功能、凝血状态、日常生活能力、生活质量、护理满意度及预后方面均明显优于传统护理组（均P<0.05）。多因素logistic回归分析显示，年龄较大、美国国立卫生研究院卒中量表评分较高、血清C反应蛋白和同型半胱氨酸水平升高以及血管内皮生长因子水平降低是AIS患者预后不良的危险因素（均P<0.05）。
将延续性护理与基于5E康复模式的综合护理干预相结合，能有效满足AIS患者的康复需求，显著改善其神经功能、生活质量及预后。
